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FACTORS AND CORRELATES OF SEXUAL BEHAVIORS
AMONG YOUNG ADULTS FROM CONTINUATION HIGH SCHOOLS
by
Lilia Espinoza
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PREVENTIVE MEDICINE)
August 2009
Copyright 2009 Lilia Espinoza
Object Description
| Title | Factors and correlates of sexual behaviors among young adults from continuation high schools |
| Author | Espinoza, Lilia |
| Author email | lespinoz@usc.edu; lilespi@yahoo.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Preventive Medicine (Health Behavior) |
| School | Keck School of Medicine |
| Date defended/completed | 2009-06-17 |
| Date submitted | 2009 |
| Restricted until | Unrestricted |
| Date published | 2009-08-03 |
| Advisor (committee chair) | Richardson, Jean R. |
| Advisor (committee member) |
Baezconde-Garbanati, Lourdes Chou, Chih-Ping Ferguson, Kristin M. Stacy, W. Alan |
| Abstract | With HIV increasingly impacting youth, the importance of studying an understudied at-risk group of youth was evident. National epidemiologic data reveal that youth in continuation high schools (CHS) exhibit greater HIV sexual risk behaviors than youth in regular high schools yet these data are aged and cross-sectional in nature. In the present study, sociocognitive factors and correlates of sexual behaviors among CHS youth were explored. Baseline data from the Transdisciplinary Drug Abuse Prevention Research Center as well as four-year follow-up data that were newly collected were used to conduct descriptive and inferential statistics. Follow-up data from 111 young adults (M = 20.6 years, S = 1.2 years) who attended CHS in southern California were matched to their baseline data. Compared to Latinos, non-Latinos reported greater substance use and had higher sensation-seeking scores at baseline and an earlier age at sexual initiation. The relationships between baseline substance use and the numbers of lifetime and recent sexual partners reported at follow-up were fully mediated by age at sexual onset. CHS youth with greater substance use initiated sexual activity at an earlier age and reported multiple sexual partners. Sensation-seeking had no effect on sexual behaviors. Females exhibited greater depressive symptomatology than males. A pattern of greater depressive symptomatology at both time periods and an earlier age at sexual onset was observed. Depressive symptoms at follow-up were significantly associated with multiple lifetime sexual partners. Depressive symptomatology was not related with frequency of condom use. Greater frequency of sexual safety communication with a parent either during adolescence or recently was significantly associated with more consistent lifetime and recent condom use.; Greater perceived susceptibility to HIV, peer norms that support safer sex, and greater condom use self-efficacy were also significant correlates of greater lifetime condom use among non-Latinos. None of the sociocognitive constructs were significantly associated with condom use among Latinos. Peer norms and condom use self-efficacy were significant correlates for lifetime condom use among females. Findings provide starting points where additional research is needed to determine what culturally and gender-appropriate variables are important to include when developing HIV prevention interventions among CHS youth. |
| Keyword | HIV risk; sexual partners; condom use; continuation high schools; youth; Latinos; age at sexual onset; substance use; sensation-seeking; depressive symptomatology; parent-adolescent communication; perceived HIV risk; safer sex peer norms; condom use self-efficacy |
| Geographic subject (state) | California |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m2455 |
| Contributing entity | University of Southern California |
| Rights | Espinoza, Lilia |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@dots.usc.edu |
| Filename | etd-Espinoza-3075 |
| Archival file | uscthesesreloadpub_Volume14/etd-Espinoza-3075.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@dots.usc.edu |
| Full text | FACTORS AND CORRELATES OF SEXUAL BEHAVIORS AMONG YOUNG ADULTS FROM CONTINUATION HIGH SCHOOLS by Lilia Espinoza A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PREVENTIVE MEDICINE) August 2009 Copyright 2009 Lilia Espinoza |
